Informed choice for screening for type two diabetes Nutritional, Metabolic, Endocrine Diabetes mellitus
Conditions
Interventions
1. Traditional invitation:
This will be a brief letter based on previous invitations for screening tests, including diabetes and coronary heart disease. It will include:
a. name of the condition i.e.
Sponsors
King's College London (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. 1200 men and women aged 40 to 69 years 2. In the top 20% of risk of undiagnosed diabetes on practice registers, defined by a validated risk score applied to routine data on general practice population registers. The Cambridge Diabetes Risk Score includes the following risk variables: a. age b. gender c. family history of diabetes d. smoking status e. prescription of steroid or anti-hypertensive medication f. body mass index
Exclusion criteria
Exclusion criteria: Patients considered by the practice nurse or General Practitioner to be unsuitable for the project, for example, people who are severely ill, will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Uptake of screening, which will be recorded by the practice nurses conducting the screening. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Intention to change behaviour to reduce risks of diabetes: behavioural intentions are good predictors of behaviour change. Three core behavioural intentions will be assessed in those attending: a. increasing physical activity b. restricting calories by eating low fat foods c. taking preventive medication, if indicated d. stopping smoking will also be assessed, when relevant 2. Self-reported behaviour assessed using standard questionnaires: a. physical activity b. diet c. smoking and use of medication to reduce risk of diabetes 3. Attendance for post screening blood tests and subsequent practice nurse advice will be recorded 4. Social deprivation: area (post code) and individual level measures (education, home ownership and access to car) will be used. Age, gender, and ethnic group and risk factors known before screening will also be recorded. 5. Risk stratification: all those attending will be given a risk score to indicate their risks of developing diabetes and experiencing a cardiovascular event over the next ten years. Those with confirmed diabetes, expected to be about 30 individuals, will also receive their Coronary Heart Disease (CHD) risk scores 6. Informed choice: choices to participate in screening will be classified as informed to the extent that they are based on understanding diabetes screening and reflect the decision-maker?s values, using a standardised method we have developed and validated in other screening contexts | — |
Countries
United Kingdom
Outcome results
None listed